Search › Georgia › 111N00000X
Derrick Dawson
NPI 1861815169 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4571 Valley Pkwy Se Apt J
Smyrna, GA 30082 - Phone
- (229) 563-0739
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
133V00000X - Licence states on file
- GA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia